# OPAL BEHAVIORAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851098479
- **Authorized official:** SUSANNA DRAIGHAN APRN (OWNER)
- **Authorized official phone:** (401) 217-9377

## Contact information

- **Practice address:** 383 W FOUNTAIN ST STE 103, PROVIDENCE, RI 02903-3515
- **Practice address phone:** (401) 217-9377
- **Practice address fax:** (401) 200-3166
- **Mailing address:** 3 RINGGOLD ST, PROVIDENCE, RI 02903-1432
- **Mailing address phone:** (401) 217-9377
- **Mailing address fax:** (401) 200-3166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/14/2023
- **Last updated:** 04/05/2023